First Published Online November 5, 2008 The Oncologist, Vol. 13, No. 11, 1193-1200, November 2008; doi:10.1634/theoncologist.2008-0188 © 2008 AlphaMed Press
Angiogenesis Inhibition in Non-GIST Soft Tissue SarcomasaErasmus University Medical Center, Rotterdam, The Netherlands; bRadboud University Nijmegen Medical Center, Nijmegen, The Netherlands; cCentre Léon Bérard, Lyon, France Key Words. Soft tissue sarcoma • Angiogenesis • Vascular endothelial growth factor (VEGF) Correspondence: Stefan Sleijfer, M.D., Ph.D., Department of Medical Oncology, Erasmus University Medical Center, Daniel den Hoed Cancer Center, Groene Hilledijk 301, 3075 EA Rotterdam, The Netherlands. Telephone: 31-10-7041733; Fax: 31-10-7041003; e-mail: s.sleijfer{at}erasmusmc.nl Received August 22, 2008; accepted for publication October 1, 2008; first published online in THE ONCOLOGIST Express on November 5, 2008.
Disclosure: Employment/leadership position: None; Intellectual property rights/inventor/patent holder: None; Consultant/advisory role: Jean-Yves Blay, GlaxoSmithKline; Honoraria: None; Research funding/contracted research: Stefan Sleijfer, noncommercial interest; Ownership interest: None; Expert testimony: None; Other: None.
Because angiogenesis is of crucial importance in the pathogenesis of cancer, blocking the function of proangiogenic factors has been shown to improve the outcomes of patients with several cancer types. Given the poor survival durations of patients with advanced soft-tissue sarcomas (STSs), which has remained stable at a median of 12 months over the last 20 year, there is an unmet need for novel agents active against these tumors. Like in other tumors, accumulating evidence points at an important role for angiogenic factors in STSs, rendering these factors attractive treatment targets. This review discusses the currently available evidence supporting a role for angiogenic factors in the pathogenesis of STSs and the first preliminary study results obtained with angiogenesis inhibitors.
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